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Multiple calcifying lesions in the maxilla and mandible of a 4-year-old girl: report of a rare case and literature review

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Abstract

Calcifying lesions in the jaws are usually solitary and can be diagnosed by intraoral, panoramic, and conventional extraoral radiographs. It is extremely rare for these calcifying lesions to be multiple, unless they are associated with certain systematic diseases. Herein, we report a rare case of multiple odontomas in a 4-year-old girl. The lesions were scattered throughout both jaws on the panoramic image. The reconstructed CT image showed lesions in the left maxilla that occupied the sinus and affected the floor of the left orbit. The lesions in the mandible were widespread and extended to the tooth-bearing area. Enucleations of the maxillary parts were performed, and the pathological diagnosis was a mixture of complex and compound odontomas. The 3-year postoperative follow-up by panoramic imaging was uneventful. Preoperative CT was useful for the differential diagnosis by depicting the internal calcifying lesions and revealing the extent and complex relationships among the lesions.

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References

  1. Regezi JA, Kerr DA, Courtney RM. Odontogenic tumors: analysis of 706 cases. J Oral Surg. 1978;36:771–8.

    PubMed  Google Scholar 

  2. Kleihues P, Sobin LH. Odontogenic tumours. In: Barnes L, Eveson J, Reichart P, Sidransky D, editors. World Health Organization classification of tumours. Pathology and genetics of tumours of the head and neck. Lyon: IARC; 2005. p. 310–1.

    Google Scholar 

  3. Philipsen HP, Reichart PA, Praetorius F. Mixed odontogenic tumors and odontomas. Considerations on interrelationship. Review of literature and presentation of 134 new cases of odontomas. Oral Oncol. 1997;33:86–99.

    Article  PubMed  Google Scholar 

  4. White SC, Pharoah MJ. Oral radiology principles and interpretation, vol. 6. St Louis: Mosby; 2003. p. 373–8.

    Google Scholar 

  5. Sumi M, Yonetsu K, Nakamura T. CT of ameloblastic fibro-odontoma. AJR Am J Radiol. 1997;169:599–600.

    Google Scholar 

  6. Slootweg PJ. An analysis of the interrelationship of the mixed odontogenic tumors–ameloblastic fibroma, ameloblastic fibro-odontoma, and the odontomas. Oral Surg Oral Med Oral Pathol. 1981;51:266–76.

    Article  PubMed  Google Scholar 

  7. Gardner DG. The mixed odontogenic tumors. Oral Surg. 1984;57:395–7.

    Article  PubMed  Google Scholar 

  8. Dhanuthai K, Kongin K. Ameloblastic fibro-odonoma: a case report. J Clin Pediatr Dent. 2004;29:75–7.

    PubMed  Google Scholar 

  9. Schreiber LK. Bilateral odontomas preventing eruption of maxillary central incisors: report of a case. Oral Surg. 1963;16:503–7.

    Article  PubMed  Google Scholar 

  10. Bader G. Odontomatosis (multiple odontomas). Oral Surg. 1967;23:770–3.

    Article  PubMed  Google Scholar 

  11. Thompson RD, McLeran JH. Multiple compound composite odontomas of maxilla and mandible: report of case. J Oral Surg. 1968;26:478–80.

    PubMed  Google Scholar 

  12. Browne WG. Familial compound composite odontomas. Oral Surg. 1970;29:428–30.

    Article  PubMed  Google Scholar 

  13. Mani NJ. Odontoma syndrome: report of an unusual case with multiple multiform odontomas of both jaws. J Dent. 1974;2:149–52.

    Article  PubMed  Google Scholar 

  14. Malik SA, Khalid M. Odontomatosis (multiple odontomas)—a case report. Br J Oral Surg. 1974;11:262–4.

    Article  PubMed  Google Scholar 

  15. Schmidser R, Hausamen JE. Multiple odontogenic tumors and other anomalies: an autosomal dominantly inherited syndrome. Oral Surg. 1975;39:249–59.

    Article  Google Scholar 

  16. El-Gally RA, Fahim MS. Multiple odontomas. Egypt Dent J. 1977;23:69–74.

    PubMed  Google Scholar 

  17. Lamberg MA, Syrjänen SM, Ripatti LT, Vänttinen RS. Multiple odontomas. Review of the literature and report of a new case. Proc Finn Dent Soc. 1984;80:169–74.

    PubMed  Google Scholar 

  18. Iwamoto O, Hamada H, Kusukawa J, Kameyama T. Multiple odontomas of the mandible: a case report. J Oral Maxillofac Surg. 1999;57:338–41.

    Article  PubMed  Google Scholar 

  19. Ajike SO, Adekeya EO. Multiple odontomas in the facial bones. A case report. Int J Oral Maxillofac Surg. 2000;29:443–4.

    Article  PubMed  Google Scholar 

  20. Bordini J, Contar CM, Sarot JR, Fernandes A, Machad MAN. Multiple compound odontomas in the jaw: case report and analysis of the literature. J Oral Maxillofac Surg. 2008;66:2617–20.

    Article  PubMed  Google Scholar 

  21. Hammoudeh JA, Kleiber GM, Nazarian-Mobin SS, Urata MM. Bilateral complex odontomas: a rare complication of external mandibular distraction in the neonate. J Craniofac Surg. 2009;20:973–6.

    Article  PubMed  Google Scholar 

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Conflict of interest

Yasuo Kumazawa, Taisuke Kawai, Toshiomi Shirase, Hisao Yagishita, Kazumasa Yoshida, and Takashi Yosue declare that they have no conflict of interest.

Human rights statement and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from the patient and her parents for being included in the study.

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery, Nippon Dental University Hospital, 2-3-16 Fujimi, Chiyoda-ku, Tokyo, 102-8158, Japan

    Yasuo Kumazawa & Kazumasa Yoshida

  2. Department of Oral and Maxillofacial Radiology, School of Life Dentistry at Tokyo, Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan

    Taisuke Kawai & Takashi Yosue

  3. Pediatric Dentistry, Nippon Dental University Hospital, 2-3-16 Fujimi, Chiyoda-ku, Tokyo, 102-8158, Japan

    Toshiomi Shirase

  4. Division of Oral Diagnosis, Oral Radiology and Oral Pathology Diagnostic Services, Nippon Dental University Hospital, 2-3-16 Fujimi, Chiyoda-ku, Tokyo, 102-8158, Japan

    Hisao Yagishita

Authors
  1. Yasuo Kumazawa
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  2. Taisuke Kawai
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  3. Toshiomi Shirase
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  4. Hisao Yagishita
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  5. Kazumasa Yoshida
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  6. Takashi Yosue
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Correspondence to Taisuke Kawai.

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Kumazawa, Y., Kawai, T., Shirase, T. et al. Multiple calcifying lesions in the maxilla and mandible of a 4-year-old girl: report of a rare case and literature review. Oral Radiol 30, 259–264 (2014). https://doi.org/10.1007/s11282-014-0170-8

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  • DOI: https://doi.org/10.1007/s11282-014-0170-8

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